Git Nursing Procedures

PREPARATION
PREPARATION AND
AND CARE
CARE OF
OF PATIENT
PATIENT
UNDERGOING
UNDERGOING DIAGNOSTIC
DIAGNOSTIC
PROCEDURES
PROCEDURES AND
AND GIT
GIT NURSING
NURSING
PROCEDURES
PROCEDURES
PREPARED BY:
BIBI / ZURIDA
DIPLOMA IN NURSING
FACULTY OF HEALTH SCIENCE
PREPARATION AND CARE OF PATIENT UNDERGOING DIAGNOSTIC
PROCEDURES AND GIT NURSING PROCEDURES
Definition
The introduction of a tube into the stomach via nasal

route for a short term.
The tube needs to changed every 10-14 days ( feeding)
Gastrostomy Feeding
Definition
Gastrostomy is a surgical procedure

for inserting a tube (percutaneuos
endoscopically-guided gastrostomy
(PEG) tube ) through the abdomen wall
and into the stomach for long term
feeding
Feeding tubes: G-tubes or PEG percutaneous endoscopic gastrostomy

Bolus gastrostomy feeding by gravity. Syringe is raised

at the level of the abdomen so that feeding can enter
by gravity
Care of feeding tubes G tubes/PEG
Always assess for signs of infections

Drainage, tenderness, swelling, redness
Chills, fever, body ache
Assess:
Nausea, vomiting, abdominal pain, cramping, diarrhea
Weakness, cramping, lightheadedness, sweating, tachycardia
Always close caps and adapters when not in use
Ensure bolster/crossbar is always secured to the tube with a twist lock or
pull tie to keep tube in place
Do not pinch or clamp the catheter tubing (if there is no clamp provided)
Do not need to cover & dress the PEG, clean w/ soap and water. Patient
may bath once incision is healed.
Gastric Aspiration
Gastric aspiration
Purpose is to empty gastric contents/gas at regular

intervals
Attach syringe and aspirate contents
Measure the amount and type of aspirate
Save specimen for inspection to the lab
Record time, nature, amount of aspiration on the
I/O chart
Gastric Lavage / Stomach

Washout
Definition
Is the washing out of the stomach with

repeated flushing
Purposes
1. To remove ingested non corrosive poisons
2. To control upper GI bleeding by vasoconstriction of gastric
vessels, using iced cold water
Contraindicated in:
3. Poisoning from ingestion of petroleum products eg
kerosene
4. Poisoning from corrosive agent
5. An unconscious patient unless he has been intubated
Rectal Lavage
Definition
Is the washing out of the rectum using

large volume of fluid
Indications
1. To cleanse the lower bowel before
examination or surgery
2. To remove toxic substances that can be

absorbed into the blood stream
Contraindications
Severe or prolapsed haemorrhoids

Anal fissure
Inflammatory bowel diseases
Large tumor in the rectum / sigmoid
colon
Fistula
Equipments
1) Solutions tap water / saline

solution
2) Rectal catheter
Rectal tubes
Thank you

Git Nursing Procedures

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Git Nursing Procedures

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PREPARATION

The introduction of a tube into the stomach via nasal

Gastrostomy is a surgical procedure

Feeding tubes: G-tubes or PEG percutaneous endoscopic gastrostomy

Bolus gastrostomy feeding by gravity. Syringe is raised

Care of feeding tubes G tubes/PEG

Always assess for signs of infections

Purpose is to empty gastric contents/gas at regular

Gastric Lavage / Stomach

Is the washing out of the stomach with

Is the washing out of the rectum using

2. To remove toxic substances that can be

Severe or prolapsed haemorrhoids

1) Solutions tap water / saline

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